Indiana
Professional Licensing Agency
Charles H. Miller, Jr
Controlled Substance Registration - Dentist
License number
12007367B
Date granted
07/31/1986
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired Non-Renewable
Address
120 WEST VOTAW STREET, PORTLAND IN 47371
indianalicensing.org
ID 5119235
LAST UPDATED 2024-02-05 15:40:45 UTC
LAST UPDATED 2024-02-05 15:40:45 UTC
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